Answer this question truthfully
### Question: Who is at highest risk for Facial nerve paralysis ?
### Response: Trauma: such as skull base fractures, facial injuries, or surgical trauma. Nervous system disease, such as Millard-Gubler syndrome Infection in the ear or face, such as Ramsey-Hunt syndrome Metabolic diseases, such as diabetes mellitus Tumors, such as acoustic neuroma, schwannoma, glomus tumors. Toxins, such as alcohol abuse, carbon monoxide poisoning. idiopathic, such as Bell's palsy